Table 2.
Variable | DBT | DM | P value |
---|---|---|---|
Screening stage | (n = 14,734) | (n = 14,719) | |
Age (SD) | 59.5 (5.8) | 59.5 (5.8) | 0.52 |
Total time, screen reading (s) (SD) | 132 (91) | 79 (94) | < 0.001 |
Consensus rate (%) | 6.6% | 7.6% | < 0.001 |
Time used at consensus (s) (SD) | 170 (106) | 124 (124) | < 0.001 |
Incremental screening costs per woman, DBT (SD) | €8.5 (5.2) | < 0.001 | |
Recall assessment stage | (n = 495) | (n = 625) | |
Use of additional imaging—DM | 81.4% | 82.2% | 0.72 |
Use of additional imaging—DBT | 11.5% | 23.2% | < 0.001 |
Use of ultrasound | 96.4% | 97.9% | 0.12 |
Biopsy performed | 52.3% | 43.7% | < 0.01 |
Imaging cost (SD) | €50 (90) | €60 (100) | 0.13 |
Biopsy cost (SD) | €240 (290) | €210 (260) | 0.10 |
Total recall costs (SD) | €290 (260) | €270 (230) | 0.37 |
Treatment stage | (n = 272) | (n = 288) | |
Cancer type: benign tumour | 62.1% | 67.0% | 0.22 |
Ductal carcinoma in situ | 5.9% | 6.2% | |
Locally advanced | 1.8% | 3.5% | |
Invasive | 30.2% | 23.3% | |
Diagnostic biopsy | 28.7% | 24.7% | 0.28 |
Any surgery | 44.9% | 39.6% | 0.21 |
Wedge resection of breast | 39.7% | 34.7% | 0.22 |
Excision of axillary lymph node | 28.3% | 23.6% | 0.21 |
Subcutaneous mastectomy | 0.4% | 1.0% | 0.34 |
Total mastectomy | 5.5% | 4.5% | 0.59 |
Breast reconstruction with prosthesis | 0.7% | 1.7% | 0.29 |
Total hospital length of stay (SD) | 3.7 (10.1) | 2.4 (3.4) | 0.42 |
Radiation therapy | 33.1% | 25.4% | 0.04 |
Chemotherapy | 15.8% | 9.4% | 0.02 |
Endocrine treatment | 22.1% | 18.1% | 0.24 |
Immunotherapy | 2.9% | 2.8% | 0.91 |
Surgery cost (SD) | €6500 (9300) | €6400 (11,700) | 0.25 |
Radiation therapy cost (SD) | €2000 (2800) | €1500 (2600) | 0.04 |
Chemotherapy cost (SD) | €1300 (3500) | €700 (2500) | 0.02 |
Medication cost (SD) | €900 (4500) | €800 (4100) | 0.10 |
Total treatment costs (SD) | €10,700 (15,600) | €9400 (16,000) | 0.16 |
Treatment stage includes both benign and malignant tumours. Costs are given per woman in the respective stage
DBT digital breast tomosynthesis and synthetic mammography; DM digital mammography